| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.01 | $65.01 | $65.01 |
Aetna
| Professional | $130.40 | $164.99 | $270.32 | |
BCBS
| Professional | $110.57 | $151.46 | $178.72 | |
Cigna
| Professional | $113.80 | $179.62 | $399.89 | |
United
| Professional | $117.37 | $147.69 | $209.11 |